Most of the reforms covered by these regulations go into effect on September 23, 2010, except for the preexisting condition exclusion, which goes into effect only for children under age 19 at this point, becoming effective for adults in 2014. Also, the restriction on annual dollar coverage limits is phased in, becoming fully effective only in 2014. A detailed summary of the proposed rule can be found on the Health Affairs website.

HIVMA’s comments focus on the importance of ensuring access to HIV clinicians by requiring plans to contact with HIV clinicians and allowing patients to designate an HIV clinician as their primary care provider; and, the problem of continued permissibility of categorical exclusions of coverage for specific conditions or diseases.